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There is a full thickness ACL tear, complete tear of superficial anterior fibres of MCL ( grade 2), mid fibres of LCL ( grade 3), partial tear of popliteus with strain pattern injury, a flipped bucket handle tear of lateral meniscus, fracture posterolateral tibial cortex with bony contusions and extensive soft tissue edema. Also seen is joint effusion, lipohemarthrosis and coexistent trochlear dysplasia.